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患者,男,68岁。因颈椎病入院。查体:心律齐,心音有力,各瓣区未闻及病理性杂音。心电图示T波低平。 心脏超声检查:各房室腔无扩大;无胸骨旁四腔切面及心尖四腔切面,见房间隔中部变薄,呈弧线样细光带回声,似囊袋状持续性向右心房膨出（图1）,膨出范围约20mm×18mm;CDFI见其内血流回旋,色彩较暗,未探及穿隔血流。主动脉瓣舒张期返流,返流速度 400cm/s,返流束长度 5.6cm。超声诊断:1.房间隔膨胀瘤;2.主动脉瓣中度返流。
Patient, male, 68 years old. Due to cervical spondylosis admission. Physical examination: Qi heart, heart sounds strong, the flap area is not known and pathological murmur. T wave low ECG flat. Cardiac echocardiography: no enlargement of the atrioventricular space; non-sternal quadruple-lumen section and apical four-chamber view, see the middle of the atrial septum thinning, showing arc-like fine light with echo, like a pouch-like persistent right atrium (Figure 1), bulging range of about 20mm × 18mm; CDFI see its blood circulation, darker colors, not to explore and through the blood flow. Aortic valve diastolic regurgitation, regurgitation velocity 400cm / s, regurgitation beam length 5.6cm. Ultrasound diagnosis: 1 atrial septal expansion tumor; 2 aortic valve moderate reflux.